| NPI | 1134221138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001191) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 1442) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 11832) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-06-13 |